How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.96 | Professional | None | $10.23 | $10.23 | $10.96 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $12.30 | Professional | None | $10.00 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $9.55 Typical High $17.78 | Facility | None | $7.24 | $9.55 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $13.80 Typical High $33.88 | Professional | None | $7.24 | $13.80 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $26.92 | Professional | None | $13.80 | $15.85 | $26.92 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.13 Typical High $11.48 | Professional | None | $6.17 | $8.13 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $5.37 Median $13.49 Typical High $13.49 | Professional | None | $5.37 | $13.49 | $13.49 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Where Maryland sits
The same service costs 3.4 times more in Kansas than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 51st of 51
$10.23
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.